British Journal of Sports Medicine最新文献

{"title":"Safeguarding global physical activity and sport participation in a warming world: a freely available international web tool.","authors":"Federico Tartarini, James W Smallcombe, Carolyn Broderick, Ollie Jay","doi":"10.1136/bjsports-2026-111907","DOIUrl":"https://doi.org/10.1136/bjsports-2026-111907","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":15.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resistance training and depressive symptoms in subcortical vascular cognitive impairment: secondary results of a randomised clinical trial.","authors":"Ryan S Falck, Cindy K Barha, Ryan G Stein, Sofia Grant, Alexis Bullock, Ken M Madden, Jennifer C Davis, Roger Tam, Teresa Liu-Ambrose","doi":"10.1136/bjsports-2026-112111","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112111","url":null,"abstract":"<p><strong>Objectives: </strong>Cerebral small vessel disease (CSVD) is associated with depressive symptoms. Exercise may reduce depressive symptoms for people with CSVD. We examined the effects of progressive resistance training (PRT) on depressive symptoms among adults with CSVD and mild cognitive impairment (ie, subcortical vascular cognitive impairment (SVCI)).</p><p><strong>Methods: </strong>A single-site, 12-month, parallel group, secondary analysis of a randomised controlled trial (ClinicalTrials.gov identifier: NCT02669394). Community-dwelling adults (aged 55+ years) with SVCI were randomly allocated to 12 months of twice-weekly (1) PRT using Keiser pressurised air machines and free weights or (2) a balance and tone control group (BAT), which included stretches and light exercises. Our main outcome was depressive symptoms, indexed using the 10-item Centres for Epidemiologic Studies Depression Scale (CESD-10) at baseline, 6 months (midpoint) and 12 months (end of intervention). We examined treatment effects using a linear mixed model with restricted maximum likelihood estimation and followed the intention-to-treat principle. Covariates included baseline CESD-10 score, sociodemographic and health factors.</p><p><strong>Results: </strong>91 participants were randomised (PRT=45; BAT=46). Mean age was 75 years (SD=6 years), 65.2% were female and mean CESD-10 score at baseline was 7.45 (SD=5.91). CESD-10 scores were significantly lower for PRT compared with BAT at 6 months (estimated mean difference: -3.17; 95% CI -6.12 to -0.22; p<i>=</i>0.036) and 12 months (estimated mean difference: -4.25; 95% CI -7.23 to -1.27; p=0.006).</p><p><strong>Conclusions: </strong>Following 12 months of PRT, adults with SVCI had fewer depressive symptoms than a BAT control group. Our results suggest PRT should be considered for adults with mild to moderate SVCI in order to mitigate depressive symptoms.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":15.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and cardiac outcomes of T wave inversions in high school athletes: an analysis of 15 years of preparticipation screening ECGs.","authors":"Zachary P Morehouse, Dermot M Phelan, David E Price","doi":"10.1136/bjsports-2025-111510","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111510","url":null,"abstract":"<p><strong>Objective: </strong>To characterise the prevalence, distribution pattern and clinical relevance of T wave inversion (TWI) on a screening preparticipation 12-lead ECG in high school athletes.</p><p><strong>Methods: </strong>A retrospective cohort study analysed ECGs from athletes screened between 2010 and 2025 during a preparticipation event. Athletes with TWI in ≥2 contiguous leads were included. Longitudinal cardiac outcomes were assessed via electronic health records, semistructured interviews and extensive media and death registries review.</p><p><strong>Results: </strong>Among 16 893 high school athletes screened (mean age 15.3±1.1 years), 61 (0.36%) demonstrated TWI in ≥2 consecutive leads, representing 20.2% of those flagged with abnormal ECGs. The majority of athletes with TWI were male (n=51, 83.6%), with 46 (75.4%) in black and 14 (23.0%) in non-black male athletes. Anterior+lateral + inferior TWI was the most frequent pattern (n=17, 27.9%). Four male athletes were identified with confirmed or presumed hypertrophic cardiomyopathy (HCM); two identified after screening, one identified 5 years after screening and one lost to follow-up who did not complete the diagnostic evaluation until after a cardiac arrest 2 years later.</p><p><strong>Conclusion: </strong>Abnormal TWI was rare in this large US adolescent athlete cohort, with higher prevalence among black males. All confirmed or presumed cases of HCM occurred in athletes with inferior+lateral TWI, underscoring the importance of a comprehensive assessment and longitudinal surveillance in athletes with this ECG phenotype.</p>","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":15.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Availability in elite football: a practical framework for recording and communicating player health status","authors":"Federico Genovesi,Ben Clarsen,Tindaro Bongiovanni","doi":"10.1136/bjsports-2026-112239","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112239","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"23 1","pages":"1374-1377"},"PeriodicalIF":18.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149050290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle injuries in football: integrating structural and neuromuscular outcomes to minimise reinjury risk and enhance post-injury performance (PhD Academy Award)","authors":"Javier Pecci","doi":"10.1136/bjsports-2026-112184","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112184","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"83 1","pages":"1446-1448"},"PeriodicalIF":18.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149050291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Removing barriers to physical activity for people with long-term conditions: co-creating patient-centred guidance through a multistakeholder consensus approach","authors":"Ashley Jane Ridout,Hamish Reid,Paul Kelly,Chloë Williamson,Natasha Jones","doi":"10.1136/bjsports-2025-111242","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111242","url":null,"abstract":"Medical clearance is still required for many people living with long-term conditions before participating in organised physical activity (PA) despite international guidance suggesting it is usually unnecessary. Existing physical activity readiness tools often direct people towards medical review, creating avoidable barriers. This study aimed to co-create digital, patient-facing guidance to support informed, autonomous decision-making about physical activity without routine medical clearance. This three-phase study used the Knowledge-to-Action framework to develop patient-facing information. Phase 1: Literature review, audit of industry adverse events and stakeholder surveys. Phase 2: Cross-sector workshops with healthcare professionals (HCPs), patient advocates and industry representatives. Phase 3: Creation of consensus statements through patient focus groups, multidisciplinary HCP panel, secondary patient consultation and implementation partner consultation with final consensus validation. Consensus development followed ACcurate COnsensus Reporting Document (ACCORD) principles and Appraisal of Guidelines for Research and Evaluation (AGREE II) criteria. There was cross-sector agreement that current processes are not fit for purpose. Clinicians reported low confidence in providing medical clearance, industry stakeholders identified governance and implementation challenges, and patients expressed concern about worsening symptoms and requested clear, supportive guidance. Through iterative consensus, four headline safety statements and seven symptom-specific statements were developed, addressing musculoskeletal pain, fatigue, shortness of breath, cardiac chest pain, palpitations, diabetes and falls, including practical self-management advice and indicators for seeking medical review. These patient-centred, evidence-based statements offer a credible alternative to routine medical clearance and may reduce barriers to engagement with organised physical activity opportunities for patients and industry providers. Future work will evaluate feasibility, acceptability and safety in real-world settings.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"9 1","pages":"1382-1393"},"PeriodicalIF":18.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149050295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From evidence to action: a global call to advance sleep health in sport","authors":"Michael A Grandner,Amy Athey,Amy Bender,Jonathan Charest,Shona L Halson,Dina Christina (Christa) Janse van Rensburg,Michele Lastella,Mathieu Nedelec,Charli Sargent,Jacopo Vitale,Allison Brager","doi":"10.1136/bjsports-2026-111578","DOIUrl":"https://doi.org/10.1136/bjsports-2026-111578","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"6 1","pages":"1378-1381"},"PeriodicalIF":18.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149050292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altitude challenges at the FIFA World Cup 2026: lessons to prepare and minimise the risks in future tournaments","authors":"Franck Brocherie,Gregoire P Millet,Sebastien Racinais","doi":"10.1136/bjsports-2025-111390","DOIUrl":"https://doi.org/10.1136/bjsports-2025-111390","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"269 1","pages":"1371-1373"},"PeriodicalIF":18.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149050296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turf toe: an occupational hazard in football players","authors":"Patrick Mcgonagill,Bruce B Forster,Kathryn J Stevens","doi":"10.1136/bjsports-2026-111624","DOIUrl":"https://doi.org/10.1136/bjsports-2026-111624","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"196 1","pages":"1449-1450"},"PeriodicalIF":18.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149050293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Specialty in motion: BASEM (British Association of Sport and Exercise Medicine),\u0000 BJSM\u0000 (\u0000 British Journal of Sports Medicine\u0000 ) and the next chapter of sport and exercise medicine","authors":"Tom Leggett,Jean Wong,Patrick C Wheeler","doi":"10.1136/bjsports-2026-112609","DOIUrl":"https://doi.org/10.1136/bjsports-2026-112609","url":null,"abstract":"","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"5 1","pages":"1279-1280"},"PeriodicalIF":18.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149050310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}